Situational Analysis with Analytical Support in Virtual Environment for Decision Making Process Under High-Risk and Crisis Conditions

Background: The initial limited supply of COVID-19 vaccine in the U.S. presented significant allocation, distribution, and delivery challenges. Information that can assist health officials, hospital administrators and other decision makers with readily identifying who and where to target vaccine resources and efforts can improve public health response. Objective: The objective of this project was to develop a publicly available geographical information system (GIS) web mapping tool that would assist North Carolina health officials readily identify high-risk, high priority population groups and facilities in the immunization decision making process. Methods: Publicly available data were used to identify 14 key health and socio-demographic variables and 5 differing themes (social and economic status; minority status and language; housing situation; at risk population; and health status). Vaccine priority population index (VPI) scores were created by calculating a percentile rank for each variable over each N.C. Census tract. All Census tracts (N = 2,195) values were ranked from lowest to highest (0.0 to 1.0) with a non-zero population and mapped using ArcGIS. Results: The VPI tool was made publicly available (https://enchealth.org/) during the pandemic to readily assist with identifying high risk population priority areas in N.C. for the planning, distribution, and delivery of COVID-19 vaccine.Discussion: While health officials may have benefitted by using the VPI tool during the pandemic, a more formal evaluation process is needed to fully assess its usefulness, functionality, and limitations. Conclusion: When considering COVID-19 immunization efforts, the VPI tool can serve as an added component in the decision-making process.

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Investigating Effects of Psychophysical Metrics on Fidelity in 3D Space Visualization

Contemporary Strategies and Approaches in 3-D Information Modeling - Advances in Civil and Industrial Engineering ◽

10.4018/978-1-5225-5625-1.ch009 ◽

2018 ◽

pp. 224-241

Author(s):

Noha Saleeb

Keyword(s):

Decision Making ◽

Virtual Environment ◽

Physical Environment ◽

Human Perception ◽

Decision Making Process ◽

3D Space ◽

3D Virtual Environment

Previous research tests and experiments have provided evidence for the disparity between human perception of space in the physical environment and the 3D virtual environment. This could have dire effects on the decision-making process throughout the whole construction lifecycle of an asset due to non-precision of perceived spaces. Results have shown an infidelity in displaying the actual dimensions of the space in the 3D virtual environment, and previous research by the author has identified the magnitude of this disparity. However, there has been inconclusive reasoning behind the causes for this disparity. This chapter aims to investigate and highlight different psychophysical factors that might cause this difference in perception, and compare these factors with previously investigated research.

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Contextual Factors Surrounding Extradyadic High-Risk Sexual Decision-Making in Men: A Case-Oriented Perspective

The Qualitative Report ◽

10.46743/2160-3715/2015.2118 ◽

2015 ◽

Author(s):

Katherine Hertlein ◽

Claudia Villasante

Keyword(s):

Decision Making ◽

Sexual Behavior ◽

High Risk ◽

Sensation Seeking ◽

Qualitative Interviews ◽

Self Esteem ◽

Decision Making Process ◽

High Risk Sexual Behavior ◽

Sexual Decision Making ◽

Risk Sexual Behavior

Many models have been developed to explain the decision-making process of high-risk sexual behavior (HRSB). Juhasz and Sonnenshein-Schneider (1980) proposed a model for sexual decision-making with three distinct factors (socialization influences, factors germane to the situation, and cognitive factors). While this model makes sense from a theoretical standpoint, it has not been empirically validated and they have focused exclusively on adolescent sexual decision-making processes. The purpose of this study was to identify the key points in decision-making toward engagement in extradyadic high-risk sexual behavior. Using qualitative interviews in a case-oriented study, key components surrounding the context, decision-making, and management processes of engagement in high-risk sexual behavior were analyzed. We found that chemical impairment, sensation-seeking and impulsivity, quality of the relationship, and self-esteem were all key contributors to the context of engaging in HRSB. On the other hand, the decision-making process of HRSB contained compartmentalization, rationalization, and experiencing a point of no return. Finally, the management process of engaging in HRSB included dissociation, self-esteem, and control.

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Government-led Resettlement after Natural Disasters as a Durable Solution? The Case of Cyclone Idai

Refugee Survey Quarterly ◽

10.1093/rsq/hdaa041 ◽

2020 ◽

Author(s):

Carolien Jacobs ◽

Bernardo Almeida

Keyword(s):

Climate Change ◽

Decision Making ◽

High Risk ◽

Citizen Participation ◽

Disaster Response ◽

Decision Making Process ◽

Short Term ◽

Risk Areas ◽

The Government ◽

Term Response

Abstract Thousands of people had to flee their homes when Cyclone Idai hit Mozambique in 2019. In its aftermath, the government resettled more than 80,000 people from high-risk areas to safer ground. This article analyses resettlement as a durable solution to disaster response. The question of durable resettlement due to climate-related displacement is especially pertinent in the light of ongoing climate change. Based on empirical research, we show that, although the government succeeded in providing a short-term response to the disaster, there are two major impediments to using resettlement as a durable solution: the lack of citizen participation in the decision-making process leading to resettlement; and the gap between the short-term humanitarian perspective and a longer-term development viewpoint. Resettlement can hardly be seen as a durable solution to climate-related displacement as long as key principles are not respected.

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Fundamental elements regarding the approach of risk management within the international projects with teams in the virtual environment

MATEC Web of Conferences ◽

10.1051/matecconf/202134307013 ◽

2021 ◽

Vol 343 ◽

pp. 07013

Author(s):

Iulia Dumitraşcu-Băldău ◽

Alexandru Căpăţînă ◽

Dănuţ Dumitru Dumitraşcu

Keyword(s):

Decision Making ◽

Risk Management ◽

Theoretical Model ◽

High Risk ◽

Virtual Environment ◽

Project Success ◽

Management Process ◽

Risk Management Process ◽

International Projects ◽

Risk Management Methodology

International projects with teams in the virtual environment (IPTVE) are known as complex and high risk projects, these features being considered as significant obstacles to project success. Applying the appropriate risk management methodology could increase their success rate, becoming a fundamental tool for decision making. Research on IPTVE management risks is scarce, focused on specific sectors as software development or construction, without taking into account the differences between traditional and international projects. Thereby, risk management within IPTVE becomes a necessary approach for the performance in managing international projects. This article aims to improve the risk management process within IPTVE, by proposing a flexible theoretical model of the process.

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Decisional Conflict

Conflict ◽

10.1093/oso/9780190623449.003.0001 ◽

2019 ◽

pp. 1-14

Author(s):

Neil D. Shortland ◽

Laurence J. Alison ◽

Joseph M. Moran

Keyword(s):

Decision Making ◽

High Risk ◽

Armed Forces ◽

Psychological Theory ◽

Decisional Conflict ◽

Decision Making Process ◽

Military Decision Making

Members of the Armed Forces, at all levels, are required to make decisions in which every outcome appears to be averse and high risk. Neither the current military decision-making process nor contemporary psychological theory (e.g., recognition-primed decision-making) satisfactorily explains the process of making decisions such as these. This chapter discusses the prevalence of least-worst decisions, showing that they can occur at all levels, from the President’s decision to use a military option (e.g., in Syria) to the soldier on the ground who must decide whether to shoot or not (and the implications of the former on the latter and vice versa). The chapter also shows that effectively navigating combat, at all levels of command, is not a case of being able to select the best choice but, rather, often being able to grapple with choosing the least-worst.

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An Analysis of the Decision-Making Process After “Decision not to Operate” in Acutely Unwell, High-Risk General Surgery Patients

American Journal of Hospice and Palliative Medicine® ◽

10.1177/1049909119893598 ◽

2019 ◽

Vol 37 (8) ◽

pp. 632-635

Author(s):

Rui Pinto-Lopes ◽

Azeem Thahir ◽

V. Chandima Halahakoon

Keyword(s):

Decision Making ◽

High Risk ◽

Functional Status ◽

General Surgery ◽

Conservative Management ◽

Emergency Laparotomy ◽

Decision Making Process ◽

Possum Score ◽

Operative Severity Score ◽

Number Of Patients

Objectives: The purpose of this study was to analyze the decision-making process in emergency general surgery in an attempt to ascertain whether surgeons make the correct decision when decisions not to operate in high-risk acutely unwell surgical patients are taken. Background: A decision not to operate is sometimes associated with a certain degree of uncertainty as to the accuracy of the decision. Difficulty lies with the fact that the decisions are made on assumptions, and the tools available are not fool proof. Methods: We retrospectively evaluated “decisions not to operate” over a period of 32 months from April 2013 to August 2015 in a district general hospital in United Kingdom and compared with consecutive similar number of patients who had an operation as recorded in the National Emergency Laparotomy Audit (NELA) database (from January 2014 to August 2015). We looked at the demographics, American Society of Anesthesiologists grade, Portsmouth–Physiological and Operative Severity Score for enumeration of Mortality and Morbidity (P-POSSUM) score, functional status, and 30-day mortality. Results: Two groups (operated [n = 43] and conservative [n = 42]) had similar characteristics. Patients for conservative management had a higher P-POSSUM score ( P < .001) and a poorer functional status ( P < .001) at the time of decision-making compared to those who had surgery. Mortality at 30 days was significantly higher for patients decided for conservative management when compared with those who had surgery (76.2% and 18.6%, respectively). Conclusions: Elderly patients with poorer functional status and predicted risks more often drive multidisciplinary discussions on whether to operate. Within the limitations of not knowing the outcome otherwise, it appears surgeons take a reasonable approach when deciding not to operate.

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AAC Decision-Making and Mobile Technology: Points to Ponder

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac23.2.104 ◽

2014 ◽

Vol 23 (2) ◽

pp. 104-111 ◽

Cited By ~ 6

Author(s):

Mary Ann Abbott ◽

Debby McBride

Keyword(s):

Decision Making ◽

Mobile Technology ◽

Communication System ◽

Augmentative And Alternative Communication ◽

Evaluation Process ◽

Decision Making Process ◽

Alternative Communication ◽

Ipod Touch ◽

Feature Match

The purpose of this article is to outline a decision-making process and highlight which portions of the augmentative and alternative communication (AAC) evaluation process deserve special attention when deciding which features are required for a communication system in order to provide optimal benefit for the user. The clinician then will be able to use a feature-match approach as part of the decision-making process to determine whether mobile technology or a dedicated device is the best choice for communication. The term mobile technology will be used to describe off-the-shelf, commercially available, tablet-style devices like an iPhone®, iPod Touch®, iPad®, and Android® or Windows® tablet.

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